| This thesis is mainly divided into two parts:Part I Summary of academic thinking and clinical experience of treatment of stomach diseases in Niu Xingdong teacher; Part Ⅱ Reflux esophagitis in traditional Chinese medicine and modern medicine Research;PartⅢ The ShuGanHeWeiJiangNiTang treatment of reflux esophagitis (liver-stomach disharmony) Chinese medicine clinical research.Part I:Niu Xingdong the teacher’s academic thinking and clinical experience First,Niu Xingdong the teacher’s academic Ideological Origins1. Under the tutelage of origin:My teacher graduated from Baotou Medical College, because of their work thanks to Lee’s ancestral Chinese medicine (claiming to be the the spleen and stomach to send) to study Chinese medicine and Western experts as a teacher, admitted to the Mongolian Department of Inner Mongolia Medical College, systematic study of Chinese medicine in1975basic theory of four classical and clinical subjects receive teacher guidance. In clinical practice, worship Chao enxiang teacher as a teacher, and after graduation attended the2-year Western research classes. Work-read books, widely read in the famous masterpiece, not rigidly adhere to one of the words without sectarianism and diligent practice, created their own unique academic thought.2, the treatment of stomach diseases in NiuXingdong teacher academic thought: The Niu teacher has received a comprehensive system of modern medicine and medical education, has thanks to the many doctors as a teacher in the academic ideology, Niu teacher gambling house, and Western long.①traditional Chinese medicine, combined with disease. The teacher Niu advocates to identify diseases and dialectical combination of both to find the drug also attach importance to diagnosis and treatment for the disease to diagnosis and treatment with disease on the Treatment of unity;②treating disease,stomach first. Teacher of Niu inherited the old saying, the treatment of disease, whether it is not disease prevention, or both diseases anti change and recover from illness defense complex, should the stomach first, stressed the importance of care of nursing the stomach of this.③stomach illness, re-adjusting blood. The spleen governs the transportation, stomach and the main receiving source of qi and blood, spleen and stomach is the hub of the human air-lift. Regardless of injuries or evils, and many other factors lead to deficiency of qi or blood stasis, and the lingering stomach course of the disease, the loss of government mistreatment and chronic illness into the network, poor blood. Niu teacher is on the Spleen stomach, attention to modulating blood.Second, Niu Xingdong teacher treatment of stomach disease Clinical experience: Described Niu Xingdong teacher treatment of Stomachache, reflux esophagitis.irritable bowel syndrome, the stomach of postoperative complications clinical experience. Niu Xingdong teachers in the treatment of Stomachache that transfer gas machine, in addition to the pain of the law; of blood stasis, long pain Ann; spleen and stomach, treating pain and summarizes the treatment of Stomachache12France. The Niu Xingdong teacher reflux esophagitis causes more rather smooth for love, or improper diet, or too spicy food, resulting in air, fire, wet, phlegm, blood stasis and each node. Disease in the esophagus, closely related to the focus on the stomach, liver, gallbladder, spleen, lungs and other organs. Loss and lower stomach is the basic pathogenesis of disharmony of liver stomach lift disorders, the Stomach Shangni, air. fire, wet. phlegm, blood stasis and each node in the esophagus as the main pathogenesis. Therefore, the basic principle of treatment and Heweijiangni spleen Shengqing. Clinical Niu teacher and more divided into five types of dialectical therapy. The Clinical Niu teacher will be divided into five types of dialectical therapy:incoordination between liver and liver depression and stomach heat type, spleen qi stagnation, qi stagnation, qi and phlegm heat.Irritable bowel syndrome disease in the intestines, spleen and stomach is the onset of the liver qi stagnation for the onset of the key in the treatment of spleen and kidney and its this, the liver qi and soothe the nerves to treat the symptoms. Clinical My teacher more than to be divided into seven types dialectical therapy:Liver and spleen deficiency; weak stomach type; spleen type; spleen and kidney yang; liver and spleen is not adjusted, the conduction loss of the Secretary-type; Spleen does not transport conduction loss of the Secretary-type; kidney is less than the conduction loss of the Secretary type. My teacher think gastric postoperative complications of disease in the stomach, spleen and stomach is the pathogenesis of this, and the stagnation of qi and blood stasis, wet Yun, phlegm, heat Yu, stagnation is the standard of the disease. Governing Law when breathing, blood circulation, detoxification. Transfer gas that health temper down the Stomach, liver qi; that is, nourishing and promoting blood circulation, blood circulation, blood circulation; detoxification phlegm, dampness, heat, digestion. My teacher more than the provisional license is divided into seven types dialectical therapy:the spleen and stomach Deficiency stomach yang type of stomach yin deficiency, qi stagnation, liver and stomach swelter type, gastrointestinal accumulated heat type, the stomach meridian stasis type. Teachers prescription prescription refining, strict compatibility, a clear role, not only to pass by the side of the hair cut, combined with modern pharmacological studies, a significant effect.Part Ⅱ:Reflux esophagitis in traditional Chinese medicine and modern medicine ResearchFirst,Reflux esophagitis of Traditional Chinese Medicine Research TCM diseases from traditional Chinese medicine for reflux esophagitis. the etiology and pathogenesis of the syndrome type of governance, special disease Special Treatment of Integrative Medicine, other TCM methods of treatment, laboratory research, and future research directions, etc. are described.Second, Reflux esophagitis Modern Medical Research Mainly from the etiology and pathogenesis of reflux esophagitis, diagnosis, and treatment are described.PartⅢ:The ShuGanHeWeiJiangNiTang treatment of reflux esophagitis (liver-stomach disharmony) Chinese medicine clinical research.Objective:To observe ShuGanHeWeiJiangNi Tang the treatment of reflux esophagitis and its effect on esophageal mucosal inflammation to improve the situation.Methods:60patients with reflux esophagitis patients are January2009to December2010in our hospital to digest the internal medicine specialist out-patient, and Western diagnosis of reflux esophagitis, TCM liver-stomach disharmony.Their treatment of the order were randomly divided into treatment group and control group of30cases. The treatment group selection of self ShuGanHeWeiJiangNiTang. Control group treated with omeprazole enteric-coated tablets.8weeks for1week course of treatment, after treatment endoscopy.Results:(1) treatment group compared with the control group clinical overall efficacy in the treatment group of30cases of clinical cure in10cases,12cases markedly effective in4cases, ineffective4cases, the total efficiency of86.67%in the control group were7cases.11cases,6cases.6cases, the total efficiency of80.00%. Efficiency and recovery rates there was no significant difference (P>0.05).(2) treatment group to improve, such as abdominal threat fullness or pain, heartburn, acid reflux and other individual symptoms, compared with the control group, no significant difference (P>0.05). but the two groups in improving the belching, hiccups, and emotional depression good heave a deep sigh, anorexia, epigastric noise such as a more significant difference (P<0.05), the treatment group than the control group. Endoscopic esophagitis, two sets of endoscopic esophageal inflammatory changes after treatment, results showed that the treatment group was86.67%. control group, the total efficiency of70.00%compared two groups of total efficiency and a significant sexual difference (P<0.05).Conclusion:(1) The ShuGanHeWeiJiangNiTang treatment of reflux esophagitis (liver stomach disharmony) efficacy can significantly improve patients’symptoms, signs, reached with the effect of Western medicine omeprazole domperidone treatment.(2) Mentor experience side ShuGan Heweijiangni of soup prescription rigorous compatibility precise and appropriate, can significantly improve patient belching, hiccups, emotional depression, good heave a deep sigh, anorexia, epigastric noisy embolism, Endoscopic esophageal mucosal inflammation improve efficacy.(3)The party is more suitable for reflux esophagitis early stage, the condition of mild to moderate, evidence-based patients. Side is effective, and safe to use, no significant side effects, should be widely applied. |
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